不同部位体温监测在开颅手术中的应用  

Intraoprative monitoring of different region temperature in patients undergoing craniotomy

作　　者：殷国江 罗中兵 宋晓阳 黎笔熙 甘国胜 YIN Guo-jiang;LUO Zhong-bing;SONG Xiao-yang;LI Bi-xi;GAN Guo-sheng(Department of Anesthesiology,General Hospital,Central theatre,PLA,Wuhan 430070,China)

机构地区：[1]中国人民解放军中部战区总医院麻醉科

出　　处：《中国临床神经外科杂志》2019年第6期339-340,344,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨膀胱温度(BT)、腋窝温度(AT)与鼻咽温度(NT)在开颅手术中的一致性和相关性。方法选取2018年3~6月全麻下行择期开颅手术病人30例,麻醉期间监测BT、AT与NT,30例总共采集体温数据319组,同一病人相同时间点为一组,每组3个数据,分别为BT、AT和NT。结果NT为(36.00±0.48)℃,BT为(36.17±0.49)℃,AT为(35.75±0.46)℃。NT比BT平均低(0.17±0.13)℃,95%置信区间为-0.07~0.42,最大差值为0.4℃,直线相关系数r=0.97(P<0.01),直线回归方程为:Y=0.94X+1.96(Y为BT,X为NT;P<0.05)。NT比AT平均高(0.25±0.23)℃,95%置信区间为-0.21~0.69,最大差值为0.6℃,直线相关系数r=0.85(P<0.01),直线回归方程为:Y=0.91X+3.64(Y为AT,X为NT;P<0.05)。结论BT与NT一致性与相关性均较好,在开颅手术中可互为替换使用,而AT与NT相关性与一致性稍差,可作为备选方法。Objective To compare the difference among the bladder temperature(BT),axillary temperature(AT)and nasopharynx temperature(NT)in the craniotomy in order to explore the possibility of replacing each other.Methods Thirty patients undergoing craniotomy were under general anesthesia selected.The intraoprative BT,AT and NT were monitored during anesthesia and they were recorded 10 minutes after the beginning of monitoring,at the beginning of the operation and every 20 minutes after the operation until the end of the operation in the 30 patients.BT and AT were compared with NT respectively.Results The mean value of the difference between BT and NT was(0.17±0.13)℃(P<0.01),the 95%confidence interval was-0.07~0.42.The correlation coefficient is 0.97,and the linear equation is:Y=0.94X+1.96(Y is BT and X is NT).The mean value of the difference between NT and AT was(0.25±0.23)℃(P<0.01),the 95%confidence interval was-0.21~0.69,and 8.1%(26/319)data were outside the confidence interval.The correlation coefficient is 0.85,and the linear equation is:Y=0.91X+3.64(Y is AT and X is NT).Conclusions The consistency and correlatvity of the BT with NT are good,and they may be replaced each other in craniotomy.The consistency and correlativity of AT with NT are slightly worse,and they may be used as alternative ones.

关 键 词：开颅手术 膀胱温度 腋窝温度 鼻咽温度 体温监测 

分 类 号：R651.11[医药卫生—外科学] R614[医药卫生—临床医学]